| NPI | 1255707113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSHON BRITT President 757-323-1292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701005621) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0710102393) |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2015-08-14 |